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. 2016 Jan 1;33(1):27–35. doi: 10.5152/balkanmedj.2015.15185
Criterion Medical professionals Patients Health authorities Industry Overall agreement percentage (median)
Number of responses 10 10 10 10 40
Category 1 – Health outcomes and benefits of intervention
Health benefits 100% 90% 100% 100% 100%
Efficacy/effectiveness 100% 70% 100% 90% 95%
Life-saving 80% 90% 70% 70% 75%
Safety 80% 70% 80% 90% 80%
Patient-reported outcomes 70% 40% 40% 50% 45%
Quality of care 70% 50% 70% 50% 60%
Category 2 – Type of health benefit
Population effect (prevention) 90% 70% 90% 80% 85%
Individual effect (medical service) 80% 90% 80% 70% 80%
Category 3 – Impact of the disease targeted by intervention
Disease severity 60% 30% 90% 30% 45%
Disease determinants 30% 10% 20% 30% 25%
Disease burden 90% 60% 70% 100% 80%
Epidemiology 70% 30% 60% 70% 65%
Category 4 – Therapeutic context of intervention
Treatment alternatives 80% 80% 80% 100% 80%
Need 70% 80% 80% 100% 80%
Clinical guidelines and practices 90% 70% 70% 60% 70%
Pre-existing use 60% 20% 20% 70% 40%
Category 5 – Economic impact of intervention
Cost 80% 40% 60% 70% 65%
Budget impact 90% 40% 70% 100% 80%
Broad financial impact 60% 40% 50% 70% 55%
Poverty reduction 60% 60% 30% 10% 45%
Cost-effectiveness 100% 40% 80% 70% 75%
Value 50% 20% 20% 20% 20%
Efficiency and opportunity costs 10% 10% 20% 10% 10%
Resources 50% 40% 60% 10% 45%
Insurance premiums 60% 10% 30% 20% 25%
Category 6 – Quality and uncertainty of evidence
Evidence available 60% 50% 40% 10% 45%
Strength of evidence 100% 70% 80% 100% 90%
Relevance of evidence 80% 50% 70% 40% 60%
Evidence characteristics 50% 40% 60% 30% 45%
Research ethics 80% 50% 30% 50% 50%
Evidence requirements 70% 60% 40% 40% 50%
Category 7 – Implementation complexity of intervention
Legislation 60% 60% 60% 30% 60%
Organizational requirements and capacity to implement 50% 50% 30% 30% 40%
Skills 80% 60% 50% 40% 55%
Flexibility of intervention 70% 50% 30% 20% 40%
Characteristics of implementation 60% 50% 50% 50% 50%
Appropriate use 60% 60% 30% 20% 45%
Barriers and acceptability 70% 20% 20% 20% 20%
Integration and system efficiencies 50% 60% 70% 40% 55%
Sustainability 80% 60% 70% 40% 65%
Category 8 – Priorities, fairness and ethics
Population priorities 60% 20% 40% 50% 45%
Access 70% 70% 90% 60% 70%
Vulnerable and needy population 80% 50% 80% 70% 75%
Equity, fairness and justice 30% 50% 50% 40% 45%
Utility 80% 20% 30% 20% 25%
Solidarity 50% 60% 20% 40% 45%
Ethics and moral aspects 60% 40% 50% 30% 45%
Category 9 – Overall context
Mission and mandate of health system 30% 20% 10% 30% 25%
Overall priorities 80% 60% 40% 50% 55%
Financial constraints 40% 20% 60% 20% 30%
Incentives 20% 10% 20% 0% 15%
Political aspects 20% 20% 20% 0% 20%
Historical aspects 30% 10% 10% 0% 10%
Cultural aspects 40% 40% 0% 10% 25%
Innovation 80% 50% 40% 60% 55%
Partnership and leadership 40% 60% 20% 20% 30%
Citizen involvement 50% 40% 60% 20% 45%
Stakeholder interests and pressures 50% 10% 30% 0% 20%